Individual provider Active NPI

Jerri L Birsinger, O.D.

  • Optometrist
  • Arnold, MO
National Provider Identifier
1760474662
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
T03357 Issued in MO
Practice address
1781 Jeffco Blvd
Arnold, MO 63010-2713
Phone
(636) 200-5008
Fax
(636) 333-3093
NPI assigned
Aug 17, 2005
Last updated
Nov 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X T03357 MO Primary
Corneal and Contact Management Optometrist 152WC0802X T03357 MO
Pediatric Optometrist 152WP0200X T03357 MO

Addresses

Primary practice location

1781 Jeffco Blvd
Arnold, MO 63010-2713

Mailing address

1781 Jeffco Blvd
Arnold, MO 63010-2713
Phone (636) 200-5008

Other identifiers 8

IdentifierTypeStateIssuer
114488OtherMOBLUE CROSS/ BLUE SHIELD
342121OtherMOHEALTHLINK
22-02004OtherMOUNITED HEALTHCARE
108559OtherMOBC/BS ALLIANCE
401501OtherMOGROUP HEALTH PLAN
410053835OtherMOPALMETTO GBA RAILROAD MED
60054OtherMOAETNA
BLC38016OtherMOBLUE CHOICE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100330000924 MO Practitioner - Optometry 9234202052 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1781 Jeffco Blvd
Arnold, MO 63010-2713
Phone (636) 200-5008

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Arnold Family Eyecare, P.C. Optometrist CurrentSince Jul 1, 2015 Accepting new patients
Diane G. Wilson, OD & Associates, PC Optometrist Past Accepting new patients

Locations

1781 Jeffco Blvd
Arnold, MO 63010
Phone (636) 200-5008

Interoperability endpoints

  • Direct secure messaging: jerribirsinger@direct.eyecare-partners.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1760474662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1781 JEFFCO BLVD",
            "city": "ARNOLD",
            "state": "MO",
            "postal_code": "630102713",
            "telephone_number": "636-200-5008",
            "fax_number": "636-333-3093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1781 JEFFCO BLVD",
            "city": "ARNOLD",
            "state": "MO",
            "postal_code": "630102713",
            "telephone_number": "636-200-5008",
            "fax_number": "636-333-3093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRSINGER",
        "first_name": "JERRI",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-17",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "T03357",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "MO",
            "license": "T03357",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "MO",
            "license": "T03357",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/ BLUE SHIELD",
            "identifier": "114488",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "342121",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "22-02004",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS ALLIANCE",
            "identifier": "108559",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH PLAN",
            "identifier": "401501",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA RAILROAD MED",
            "identifier": "410053835",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "60054",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE",
            "identifier": "BLC38016",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arnold, MO

Sources for this page

Verify at the official NPI Registry.